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An evolution of socioeconomic related inequality in teenage pregnancy and childbearing in Malawi

Chirwa, Gowokani Chijere; Mazalale, Jacob; Likupe, Gloria; Nkhoma, Dominic; Chiwaula, Levison; Chintsanya, Jesman


Gowokani Chijere Chirwa

Jacob Mazalale

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Dr Gloria Likupe
Lecturer and Researcher in Healthcare/ Chairperson of School Athena Swan group

Dominic Nkhoma

Levison Chiwaula

Jesman Chintsanya


Joshua Amo-Adjei


Teenage pregnancies and childbearing are important health concerns in low-and middleincome countries (LMICs) including Malawi. Addressing these challenges requires, among other things, an understanding of the socioeconomic determinants of and contributors to the inequalities relating to these outcomes. This study investigated the trends of the inequalities and decomposed the underlying key socioeconomic factors which accounted for the inequalities in teenage pregnancy and childbearing in Malawi.
The study used the 2004, 2010 and 2015–16 series of nationally representative Malawi Demographic Health Survey covering 12,719 women. We used concentration curves to examine the existence of inequalities, and then quantified the extent of inequalities in teenage pregnancies and childbearing using the Erreygers concentration index. Finally, we decomposed concentration index to find out the contribution of the determinants to socioeconomic inequality in teenage pregnancy and childbearing.
Results The teenage pregnancy and childbearing rate averaged 29% (p


Chirwa, G. C., Mazalale, J., Likupe, G., Nkhoma, D., Chiwaula, L., & Chintsanya, J. (2019). An evolution of socioeconomic related inequality in teenage pregnancy and childbearing in Malawi. PLoS ONE, 14(11), Article e0225374.

Journal Article Type Article
Acceptance Date Nov 4, 2019
Online Publication Date Nov 20, 2019
Publication Date Nov 20, 2019
Deposit Date Jan 21, 2020
Publicly Available Date Jan 21, 2020
Journal PLoS ONE
Print ISSN 1932-6203
Electronic ISSN 1932-6203
Publisher Public Library of Science
Peer Reviewed Peer Reviewed
Volume 14
Issue 11
Article Number e0225374
Keywords General Biochemistry, Genetics and Molecular Biology; General Agricultural and Biological Sciences; General Medicine
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Published article (1.9 Mb)

Copyright Statement
Copyright:© 2019 Chirwa et al. This is an open access article distributed under the terms of theCreative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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